Exploring Consensus on Preventive Measures and Identification of Patients at Risk of Age-Related Macular Degeneration Using the Delphi Process

Background: Early identification of AMD can lead to prompt and more effective treatment, better outcomes, and better final visual acuity; several risk scores have been devised to determine the individual level of risk for developing AMD. Herein, the Delphi method was used to provide recommendations...

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Autores principales:	Alfredo García-Layana, Gerhard Garhöfer, Tariq M. Aslam, Rufino Silva, Cécile Delcourt, Caroline C. W. Klaver, Johanna M. Seddon, Angelo M. Minnella
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	age-related macular degeneration prevention identification risk Delphi STARS<sup>®</sup> Medicine R
Acceso en línea:	https://doaj.org/article/be11eccfa06049979930e62a1de0c7b5
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spelling	oai:doaj.org-article:be11eccfa06049979930e62a1de0c7b52021-11-25T18:02:46ZExploring Consensus on Preventive Measures and Identification of Patients at Risk of Age-Related Macular Degeneration Using the Delphi Process10.3390/jcm102254322077-0383https://doaj.org/article/be11eccfa06049979930e62a1de0c7b52021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5432https://doaj.org/toc/2077-0383Background: Early identification of AMD can lead to prompt and more effective treatment, better outcomes, and better final visual acuity; several risk scores have been devised to determine the individual level of risk for developing AMD. Herein, the Delphi method was used to provide recommendations for daily practice regarding preventive measures and follow-up required for subjects at low, moderate, and high risk of AMD evaluated with the Simplified Test AMD Risk-assessment Scale (STARS<sup>®</sup>) questionnaire. Methods: A steering committee of three experts drafted and refined 25 statements on the approach to be recommended in different clinical situations [general recommendations (<i>n</i> = 2), use of evaluation tools (<i>n</i> = 4), general lifestyle advice (<i>n</i> = 3), and AREDS-based nutritional supplementation (<i>n</i> = 5)] with the help of a group of international experts, all co-authors of this paper. Thirty retinal specialists from Europe and the US were chosen based on relevant publications, clinical expertise, and experience in AMD, who then provided their level of agreement with the statements. Statements for which consensus was not reached were modified and voted upon again. Results: In the first round of voting, consensus was reached for 24 statements. After modification, consensus was then reached for the remaining statement. Conclusion: An interprofessional guideline to support preventive measures in patients at risk of AMD based on STARS<sup>®</sup> scoring has been developed to aid clinicians in daily practice, which will help to optimize preventive care of patients at risk of AMD.Alfredo García-LayanaGerhard GarhöferTariq M. AslamRufino SilvaCécile DelcourtCaroline C. W. KlaverJohanna M. SeddonAngelo M. MinnellaMDPI AGarticleage-related macular degenerationpreventionidentificationriskDelphiSTARS<sup>®</sup>MedicineRENJournal of Clinical Medicine, Vol 10, Iss 5432, p 5432 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	age-related macular degeneration prevention identification risk Delphi STARS<sup>®</sup> Medicine R
spellingShingle	age-related macular degeneration prevention identification risk Delphi STARS<sup>®</sup> Medicine R Alfredo García-Layana Gerhard Garhöfer Tariq M. Aslam Rufino Silva Cécile Delcourt Caroline C. W. Klaver Johanna M. Seddon Angelo M. Minnella Exploring Consensus on Preventive Measures and Identification of Patients at Risk of Age-Related Macular Degeneration Using the Delphi Process
description	Background: Early identification of AMD can lead to prompt and more effective treatment, better outcomes, and better final visual acuity; several risk scores have been devised to determine the individual level of risk for developing AMD. Herein, the Delphi method was used to provide recommendations for daily practice regarding preventive measures and follow-up required for subjects at low, moderate, and high risk of AMD evaluated with the Simplified Test AMD Risk-assessment Scale (STARS<sup>®</sup>) questionnaire. Methods: A steering committee of three experts drafted and refined 25 statements on the approach to be recommended in different clinical situations [general recommendations (<i>n</i> = 2), use of evaluation tools (<i>n</i> = 4), general lifestyle advice (<i>n</i> = 3), and AREDS-based nutritional supplementation (<i>n</i> = 5)] with the help of a group of international experts, all co-authors of this paper. Thirty retinal specialists from Europe and the US were chosen based on relevant publications, clinical expertise, and experience in AMD, who then provided their level of agreement with the statements. Statements for which consensus was not reached were modified and voted upon again. Results: In the first round of voting, consensus was reached for 24 statements. After modification, consensus was then reached for the remaining statement. Conclusion: An interprofessional guideline to support preventive measures in patients at risk of AMD based on STARS<sup>®</sup> scoring has been developed to aid clinicians in daily practice, which will help to optimize preventive care of patients at risk of AMD.
format	article
author	Alfredo García-Layana Gerhard Garhöfer Tariq M. Aslam Rufino Silva Cécile Delcourt Caroline C. W. Klaver Johanna M. Seddon Angelo M. Minnella
author_facet	Alfredo García-Layana Gerhard Garhöfer Tariq M. Aslam Rufino Silva Cécile Delcourt Caroline C. W. Klaver Johanna M. Seddon Angelo M. Minnella
author_sort	Alfredo García-Layana
title	Exploring Consensus on Preventive Measures and Identification of Patients at Risk of Age-Related Macular Degeneration Using the Delphi Process
title_short	Exploring Consensus on Preventive Measures and Identification of Patients at Risk of Age-Related Macular Degeneration Using the Delphi Process
title_full	Exploring Consensus on Preventive Measures and Identification of Patients at Risk of Age-Related Macular Degeneration Using the Delphi Process
title_fullStr	Exploring Consensus on Preventive Measures and Identification of Patients at Risk of Age-Related Macular Degeneration Using the Delphi Process
title_full_unstemmed	Exploring Consensus on Preventive Measures and Identification of Patients at Risk of Age-Related Macular Degeneration Using the Delphi Process
title_sort	exploring consensus on preventive measures and identification of patients at risk of age-related macular degeneration using the delphi process
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/be11eccfa06049979930e62a1de0c7b5
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Exploring Consensus on Preventive Measures and Identification of Patients at Risk of Age-Related Macular Degeneration Using the Delphi Process

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